Provider Demographics
NPI:1922746197
Name:MERRITT, JASMINE ALEESE
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:ALEESE
Last Name:MERRITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 VICTORIA ST APT 1111
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-3542
Mailing Address - Country:US
Mailing Address - Phone:808-269-6272
Mailing Address - Fax:
Practice Address - Street 1:1415 VICTORIA ST APT 1111
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-3542
Practice Address - Country:US
Practice Address - Phone:808-269-6272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula